National Center for Complementary and Integrative Health, National Institutes of Health, Bethesda, MD, USA; National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA; National Institute on Drug Abuse, National Institutes of Health, Baltimore, MD, USA.
Trends Cogn Sci. 2021 Nov;25(11):992-1005. doi: 10.1016/j.tics.2021.07.016. Epub 2021 Sep 16.
Pain is a fundamental experience that promotes survival. In humans, pain stands at the intersection of multiple health crises: chronic pain, the opioid epidemic, and health disparities. The study of placebo analgesia highlights how social, cognitive, and affective processes can directly shape pain, and identifies potential paths for mitigating these crises. This review examines recent progress in the study of placebo analgesia through affective science. It focuses on how placebo effects are shaped by expectations, affect, and the social context surrounding treatment, and discusses neurobiological mechanisms of placebo, highlighting unanswered questions and implications for health. Collaborations between clinicians and social and affective scientists can address outstanding questions and leverage placebo to reduce pain and improve human health.
疼痛是一种促进生存的基本体验。在人类中,疼痛处于多种健康危机的交叉点:慢性疼痛、阿片类药物流行和健康差距。安慰剂镇痛的研究强调了社会、认知和情感过程如何直接影响疼痛,并确定了减轻这些危机的潜在途径。本综述通过情感科学考察了安慰剂镇痛研究的最新进展。它侧重于安慰剂效应如何被期望、情感和治疗周围的社会环境所塑造,并讨论了安慰剂的神经生物学机制,强调了未解决的问题和对健康的影响。临床医生与社会和情感科学家之间的合作可以解决悬而未决的问题,并利用安慰剂来减轻疼痛和改善人类健康。